Massachusetts Medical Society: End-of-Life Care and Non-Disclosure: Case Study

End-of-Life Care and Non-Disclosure: Case Study

EOL Care and Non-Disclosure: Case Study

This course uses a case study discussing one of the most common ethical issues surrounding end-of-life care; what to do when a family member insists that the patient is not informed of a terminal illness.  The case study will show a five-part approach to resolve ethical dilemmas in clinical care.  

Learning Objectives

  • Assess the conflict between "patient autonomy" and certain conflicting cultural customs.
  • Restate the five-part approach to resolve ethical dilemmas in end-of-life care.
  • Explain  how to respond in a way that both adheres to ethical standards in the United States and builds trust with the patient and family.
  • Demonstrate the proper way to balance the interests of the patient with interests of family members in light of obligations and duties of the medical team.


Jolion McGreevy, M.D., M.B.E., M.P.H.
Department of Emergency Medicine
Boston Medical Center
Boston University School of Medicine

Michael A. Grodin, M.D.
Professor, Center for Health Law, Ethics and Human Rights
Boston University School of Public Health
Professor of Psychiatry and Family Medicine
Boston University School of Medicine
Medical Ethicist
Boston Medical Center

Course Fees

Massachusetts Medical Society (MMS) Member: $20.00
MMS Resident/Student: $0.00
Non-Member Physician: $45.00
Non-Member Resident/Student: $10.00
Allied Health Professionals: $16.00



CME Credit

1.00 AMA PRA Category 1 Credit(s)™, risk management study

Accreditation Statement 

Accreditation Statement and Credit Information  
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement 
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study, including 1.00 credit in end-of-life care.

MOC Approval Statement 
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Allergy and Immunology
Colon and Rectal Surgery
Family Medicine
Physical Medicine and Rehabilitation
Preventive Medicine 
Psychiatry & Neurology

National Commission on Certification of Physicians Assistant (NCCPA).
Physician Assistants may claim 1.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

A score of 70% or higher is required to receive AMA PRA Category 1 Credit™.  

Activity Term

Original Release Date: October 31, 2016
Original Termination Date: October 31, 2019
Review Date: March 22, 2021
Re-launch Date: March 23, 2021
Termination Date: October 31, 2023

System requirements:

Windows 10
Mac OSX 10.6 higher
Most modern browsers including:
IE 11+
Firefox 18.0+
Chrome latest version
Safari 12+
iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.

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